| NPI | 1699406769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELEINE NAVARRO DIAZ Owner 725-204-2578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-06-20 |
| Last Update Date | 2023-05-22 |